This paper is only available as a PDF. To read, Please Download here.
Owing to a poor capability for evacuation, mobile medical teams were sent to the area of Gazni in Afghanistan to work with local paramedics as part of a medical programme for the area. The teams were equipped to perform major surgery. During 1 month a surgical team inside Afghanistan performed 53 operations. The operations were performed in the patients' homes at night. The team had to move frequently so as not to be spotted by the Soviet and government surveillance. Equipment equivalent to a light field hospital was stored in a safe place and the team carried supplies for 1 or 2 days on their bicycles. One postoperative death and one wound infection were recorded.
It is concluded that adequate surgery can be performed inside territories where enemy forces have air control and under primitive conditions with an acceptable rate of complications. However, due to the nature of the guerrilla warfare with scattered military confrontations over vast areas, the average time between injury and treatment for war casualties was 36 h.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Injury
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Trauma in the Afghan guerrilla war: Effects of lack of access to care.Surgery. 1989; 105: 699
- An experience of war surgery and wounds presenting after 3 days on the border of Afghanistan.Injury. 1989; 19: 259
- Afghanistan. Princeton University Press, New Jersey1980
- The siege of Tripoli 1983: war surgery in Lebanon.J. Trauma. 1988; 28: 66
- Providing health care in war-torn rural Afghanistan.Lancet. 1988; (May 28): 1214
- Surgical theatre in rural Afghanistan.Ann. Emerg. Med. 1988; 17: 775
- The Falklands war: Army field surgical experience.Ann. R. Coll. Surg. Engl. 1983; 65: 281
- Early management of battle casualties in Vietnam.Arch. Surg. 1968; 97: 1
- Orthopaedic management of wartime trauma patients.Milit. Med. 1985; 150: 72
- High Velocity Missile Wounds. Edward Arnold, London1981
- Afghan war wounded: Experience with 200 cases.J. Trauma. 1988; 28: 523
- Sterilization techniques in underground surgical units in Afghanistan.Ann. Emerg. Med. 1988; 17: 785
US Committee for Refugees (1988) World Refugee Survey, New York, 32.
Accepted: November 4, 1991
© 1992 Published by Elsevier Inc.